Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tiffani Lyn Wallace, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760611784

MS. Tiffani Lyn Wallace, MA, CCC-SLP is a Speech-Language Pathologist in Peru, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1642 Warhawk Rd
Peru, IN 46970-8737
Phone: (765) 689-9363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22003751A (IN)

Record details

NPI number1760611784
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 12, 2009
Last updated in NPPESJuly 12, 2009

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